NPI | 1962879429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018712) |
104100000X Social Worker (Licence: PA SW130090) | |
Enumeration Date | 2015-08-31 |
Last Update Date | 2023-05-15 |